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Individual

DR. TARA W GEIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1115 E 20TH ST, SIOUX FALLS, SD 57105-1013
(605) 339-1783
(605) 367-7157
Mailing address
1115 E 20TH ST, SIOUX FALLS, SD 57105-1013
(605) 339-1783
(605) 367-7157

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34135
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5613010
SD
Enumeration date
08/31/2006
Last updated
03/17/2008
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